WordPress Shortcode

Link

America's Voices Aligned For Health - #AVA4H

Kaiser Permanente has released the results of a new data analysis focused on how physicians, health reporters and policymakers talk about health. The analysis found significant differences among the
…

Kaiser Permanente has released the results of a new data analysis focused on how physicians, health reporters and policymakers talk about health. The analysis found significant differences among the three groups studied, underscoring a need for greater alignment among key influencers around pertinent health issues impacting Americans. The data was shared at an event Feb. 26 at the Kaiser Permanente Center for Total Health in Washington, D.C.

68M Americans are diagnosing themselves or their loved ones … about half will then go to see their physicians.

3,200 MDs154 Journalists458 Members of the 112th US Congress

Those numbers are hard to comprehend …so let’s think about it like this. The first rigorous study on physicians’ use of twitter was published in 2011, and used about 5,000 tweetsLet’s put that in the context of something more tangible than a tweet. Let’s imagine it as a house.

Mount Vernon is a lovely local place – and a pretty big one too. Let’s say the 5,000-tweet study is Mount Vernon (9000 square feet)

When MDigitalLife made its debut at the Mayo Clinic at the end of October, 2012, it had 403,000 tweets.

Relatively speaking, that’s like the US Capitol – checking in at Almost 600k square feet

But the 2.3M physician tweets in this study takes us back to my old stomping grounds …

It’s the equivalent of a Sears Tower worth of data – and growing every day.4.4M square feetPhoto http://www.flickr.com/photos/jigsaw/479101383/ by Maciek R

Over 300,000 News Articles … which makes a really big difference. Sometimes the 140-character limitation of a tweet makes it harder to analyze for context … but there’s no such trouble with the articles and white papers we see online.

By my count, the latest Sunday New York Times had a little over 300 articles.… So this many articles is equal to about 1,089 Sunday New York Timeshttp://www.flickr.com/photos/binarydreams/251690096/ by Jeff Myers http://www.flickr.com/photos/binarydreams/

So we’d have to read every one going back to 1992! http://www.flickr.com/photos/keithwj/3425577/ by Keith Jenkins http://www.flickr.com/photos/keithwj/In fact, if we hired someone full time … to do nothing but read the data we used in this analysis …

It’d take over 8 years.

We started with the CDC’s Diseases and Conditions listing … but we didn’t just want to cover illness. We wanted to cover all aspects of health.

Not really. And if we’d left it that, we could all say, “that’s interesting,” and go on about our business.It’s when we start looking a little deeper that things get interesting. When we can start quantifying those difference as opposed to just recognizing them

These are the most-discussed diseases and conditions by DoctorsThere’s something that they all have in common at some level … and it’s that when people are properly educated, they can generally improve their chance of avoiding them altogether.

These are the most-discussed diseases and conditions by DoctorsThere’s something that they all have in common at some level … and it’s that when people are properly educated, they can generally improve their chance of avoiding them altogether.

Top Linksnpr.org16medpagetoday.com15latimes.com9alvinblin.blogspot.com7annals.org7jwatch.org7medscape.com7usatoday.com7wsj.com7penispowerbook.com6aafp.org5ascopost.com5youtube.com5

Americans are more than twice as likely to die from lung cancer vs breast cancer, but Physicians mention breast cancer 4x more frequently. The disparity is even greater for journalists and congressmen.2009 Stats, USCS http://apps.nccd.cdc.gov/uscs/toptencancers.aspx

The media focuses their tweets on HPV much more than doctors. They tweet about conservative public officials who are skeptical of its benefit as well as more public health oriented tweets to generate awareness. It is very rarely referenced in relation to cervical cancer.Doctors discuss HPV in only 4.2% of their vaccine conversations. They mention its potential in preventing cancer and urge vaccination.

Also Palliative careSocial media and its impact on healthcare

The media talk about the expansion of medicare and medicaid radically more than physicians do …Celebrity health issues are frequently shared by the media – usually for the public good (e.g., Paula Deen and her diet)

A greater percentage of Congress’ healthcare tweets focus on these terms, which include &quot;health insurance&quot; OR copay OR medicare OR medicaid OR obamacare OR &quot;universal healthcare&quot; OR &quot;single payer&quot; OR insurer OR &quot;health plan&quot; OR &quot;pre-existing condition&quot; OR &quot;insurance exchange&quot; OR &quot;medical insurance&quot;

32% MDs link to a personal blog or website, 38% link to a practice website, 9% link to a business and 2% link to a medical resource.

After plastic surgeons, orthopedic surgeons were the second highest of any % at 78.5% of practice links, followed by Dermatology at 77% of practice links. The specialty with the highest % of personal blog/website links is pathology at 66.7%. The specialty with the highest % of business links was is Anesthesiology at 22.7%. The specialty with the highest % of Medical Resource links is also Pathology at 22.2%.

The average ratio for all twitter users is 1:1. http://thenextweb.com/socialmedia/2010/09/30/twitter-statistics-82-of-twitter-users-have-less-than-350-followers/The average ratio for our MDs in 1.1 : 1.

Percentages represent the percent of MDs within that category that have at least 20 MDs from database following them.What are the implications for different uses of twitter? Engagement vs. Filtering vs. Newsgathering vs. Spamming

% of MDs followed by at least 20 other MDs by specialty: Pain Medicine 50%, Family Medicine 49%, Pediatrics 45%508 of 1397 36% were mentioned at least once by another physician in the data set

Transcript

2.
My use of twitter allows me to expand the diversity of my network, and therefore my knowledge in my areas of interest : prevention, diversity/equity, integrated care, and Washington, DC (the #epicenter!). It also allows me to model open leadership as a physician, and promote this approach among my medical and nursing colleagues. Ted Eytan Family Medicine, Kaiser Permanente twitter.com/tedeytan linkedin.com/in/tedeytan tedeytan.com Contents are proprietary and confidential. #AVA4H | @chimoose2

3.
Internet users are searching for health info 72% 140 Million American AdultsPew Internet and American Life – Online Health 2013 3 Contents are proprietary and confidential. #AVA4H | @chimoose

4.
Self-diagnosis is mainstream 35% of internet users are considered “self- diagnosers”Pew Internet and American Life – Online Health 2013 4 Contents are proprietary and confidential. 4 #AVA4H | @chimoose

30.
The PSA Controversy 36 117 Doctors who state an opinion are more than 3:1 Against the USPSTF’s 182 ruling on PSA Tests Negative Neutral Positive30 Contents are proprietary and confidential. #AVA4H | @chimoose

31.
The Voice of the Patient Matters31 Contents are proprietary and confidential. #AVA4H | @chimoose

39.
High Risk/Low Effort • Doctors discuss 67% more than the media; • 483% more than congress39 #AVA4H | @chimoose

40.
Insurance and reimbursement• Congress & the media lead the way in exploring how we’ll pay for care in the future• Physicians, while concerned about patients’ access to care and the viability of primary care, can be better informed 14% 48% Doctors 38% Media Congress40 #AVA4H | @chimoose

52.
How connected are online physicians? % 34 of all MDs are followed by at least 20 MDs Pediatrics Specialties who Emergency are followed by Medicine other MDs Family Medicine52 Contents are proprietary and confidential. #AVA4H | @chimoose

53.
Mining the Data A sample • Breast Cancer: (breast AND (cancer OR carcinoma)) OR (inflammatory AND breast) OR (inflammation AND breast) OR (breast AND (metastasis OR metastic)) OR (duct AND (carcinoma OR cancer)) OR (lobe AND (carcinoma OR cancer)) OR "DCIS" OR "LCIS" OR (estrogen AND receptor AND positive) OR "HER2" OR (breast AND MRI) OR (breast AND biopsy) OR (breast AND ultrasound) OR "mammogram" OR "mammography" OR "tamoxifen" OR (aromatase AND inhibitor) OR "exemestane" OR "trastuzumab" OR "Herceptin" OR "lumpectomy" OR "mastectomy" OR "komen" OR "BRCA1" OR "BRCA2” • Diabetes: "Diabetes" OR "Mellitus" OR "Insipidus" OR "Diabetic" OR "Gestational" OR "blood glucose" OR "Blood Sugar" OR "NIDDM" OR "IDDM" OR "LADA" OR ("Antiduretic Hormone" OR "ADH") OR ("Arginine Vasopressin" OR "AVP") OR "oral glucose tolerance" OR "fasting plasma glucose" OR "glycated hemoglobin OR HbA1c OR A1c" OR "insulin" OR "SMBG" OR "hyperglycemia OR hyperglycemic" OR "biguanides" OR "Sulfonylureas" OR "Meglitinides" OR "thiazolidinediones" OR "alpha glucosidase inhibitor" OR "GLP-1 agonist" OR "DPP-IV inhibitors" OR "DKA" OR "HHS"53 Contents are proprietary and confidential. #AVA4H | @chimoose